The influence of laparoscopic vs. open gastric bypass on hemodynamic function in morbidly obese patients during general anesthesia.

Gaszyński, Tomasz; Szewczyk, Tomasz

doi:10.5114/wiitm.2014.40988

Cited by 9 publications

(7 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Laparoscopic techniques have produced positive outcomes for the radical treatment of obese gastric cancer patients, however, the following shortcomings continue to limit the use of laparoscopic approach: (1) laparoscopic approaches involve prolonged operation times, resulting in fatigue among surgeons and a tortuous learning curve for these techniques 8 - 10 ; (2) the effects of radical laparoscopic surgery have been questioned 17 ; and (3) prolonged pneumoperitoneum aggravates cardiopulmonary burdens, leading to increased perioperative cardiopulmonary complications 18 , 19 . To realize the advantages but avoid the disadvantages of laparotomies and laparoscopies, we developed the unique “three-step HALG method”.…”

Section: Discussionmentioning

confidence: 99%

“…(2) Pneumoperitoneum time for the HALG group was much lower than that for the LAG group ( P =0.00). Because of this prolonged pneumoperitoneum time, there were significant compression effects on the hearts and lungs of obese patients in the LAG group, and increased postoperative cardiopulmonary complications were a direct result of this issue 18 , 19 . (3) The VAS scores for the HALG group on day 2 after surgery did not differ from that for the LAG group ( P =0.13), but remained significantly lower than that for the OG group ( P =0.00).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Three-Step Hand-Assisted Laparoscopic D2 Radical Gastrectomy for Chinese Obese Patients: A Highly Efficient and Feasible Surgical Approach

Gong¹,

Cao²,

Wang³

et al. 2015

J. Cancer

View full text Add to dashboard Cite

Three-step hand-assisted laparoscopic D2 radical gastrectomy (HALG) is a modified surgical procedure that has achieved satisfactory results for obese patients in our surgical center. To fully elucidate the advantages of this procedure, in this study, comprehensive and in-depth comparative analyses were performed to assess clinical data from obese gastric cancer patients who underwent HALG, laparoscopic-assisted D2 radical gastrectomy (LAG), and open D2 radical gastrectomy (OG) in our surgical center during a specific time period. For the 3 groups, incision length was 1.25 cm longer for the HALG group than for the LAG group but was significantly shorter for the HALG group than for the OG group (P =0.00). The rate of conversion to laparotomy , the pneumoperitoneum time and the number of recovered lymph nodes were significantly better for the HALG group than for the LAG group (P <0.05). The pain score at day 2 after surgery, intestinal function recovery time, and duration of postoperative hospital stay were not significantly different for the HALG and LAG groups ( P >0.05) but were significantly better for the HALG group than for the OG group (P <0.05). There were significantly fewer postoperative complications for the HALG group than for the LAG and OG groups (P =0.049). According to the results, the “three-step HALG method” incorporates both the thoroughness of the radical OG approach and the minimal invasiveness of the LAG approach for obese patients. Thus, the HALG approach is a relatively safe and extremely feasible surgical procedure for the treatment of these patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Three-Step Hand-Assisted Laparoscopic D2 Radical Gastrectomy for Chinese Obese Patients: A Highly Efficient and Feasible Surgical Approach

Gong¹,

Cao²,

Wang³

et al. 2015

J. Cancer

View full text Add to dashboard Cite

show abstract

“…The risk of reoperation is not different between laparoscopic and open BS [ 110 , 111 ]. During laparoscopic BS, increased intra-abdominal pressure decreases venous flow in the legs, increases venous stasis [ 1 , 112 , 113 ], and pneumoperitoneum has negative effect on hemodynamics during laparoscopic compared to open BS [ 114 ]. While the effects of laparoscopic and open gastric bypass were essentially the same [ 115 ], with similar risk of reoperation [ 116 ], others found increased reoperation in open vs laparoscopic BS but significantly lower mortality [ 109 ], hospital stay [ 116 ], and incidence of VTE [ 117 ] for laparoscopic BS.…”

Section: Resultsmentioning

confidence: 99%

Missing something? A scoping review of venous thromboembolic events and their associations with bariatric surgery. Refining the evidence base

Ansari

El-Ansari

2020

Annals of Medicine and Surgery

View full text Add to dashboard Cite

Background Venous thromboembolic events (VTE) post-bariatric surgery (BS) lead to morbidity and mortality. Methods This scoping review assessed whether reported VTE post-BS could be under/over-estimated; suggested a possible number of VTE post-BS; appraised whether VTE are likely to decrease/increase; examined BS as risk/protective factor for VTE; and mapped the gaps, proposing potential solutions. Results VTE appears under-estimated due to: identification/coding of BS and VTE; reporting of exposure (BS); and reporting of outcomes (VTE). The review proposes a hypothetical calculation of VTE post-BS. VTE are unlikely to decrease soon. BS represents risk and protection for VTE. Better appreciation of VTE-BS relationships requires longer-term strategies. Conclusion VTE are underestimated. Actions are required for understanding the VTE-BS relationships to in order to crease VTE by better-informed prevention strategy/ies.

show abstract

“…Additionally, we were surprised that there was not even one case with the alimentary limb projected into the Brolin space, although it is theoretically possible. This phenomenon might be related to the wider distance between the Brolin space and alimentary limb due to the effect of gravity on the small intestine caused by the erect position [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Modification of internal hernia classification system after laparoscopic Roux-en-Y bariatric surgery.

Karcz¹,

Zhou²,

Daoud³

et al. 2015

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

IntroductionThe occurrence of internal hernia is not an uncommon late complication following the laparoscopic bariatric Roux-en-Y gastric bypass procedure. In some instances, it can be life threatening if not treated in a timely manner. Although there are numerous publications in the literature addressing internal hernia, they are mostly retrospective, and focus mainly on describing the different reconstructive orientation as far as the bowel is concerned.AimOur study aim is to address the relationship between the three basic elements of internal hernia, namely: intestinal mesentery defect, the involved intestine and herniated loop direction. Although a developed and widely accepted classification system of internal hernia has not been established yet, we hope this study can help the system to be established.Material and methodsWe studied all patients who underwent revision bariatric operations in the Freiburg and Lübeck University Hospitals (2007–2013). A single surgeon performed and documented all revision procedures for internal hernia. The post-operative follow-up period is up to 6 years. All patients with internal hernias were included whether their primary surgery was performed in our center or performed in other institutions, being referred to our center for further management. The presence of hernia defect, the type of herniated intestinal loop and the direction by which the herniated intestinal loop migrated were analyzed.ResultsTwenty-five patients with internal hernia were identified; in 2 patients more than one hernia type coexisted. The most frequent constellation of internal hernias was BP limb herniation into the Brolin space and migrating from left to right direction (28%). The highest incidence of internal hernia was found to be following Roux-en-Y gastric bypass (68%); the biliopancreatic limb (BP) limb was the most commonly involved intestine (51.9%). The incidence of Petersen hernia was the highest (59.3%), and left-right direction was more common. The most common hernia direction of the biliopancreatic limb was from left to right (92.6%), but alimentary limb (AL; 57.1%) and common channel (CC; 66.7%) often favor the other course.ConclusionsThere are existing different types of internal hernias after bariatric operations including separate mesenterial spaces, various intestine parts and herniation direction. Our SDL classification system may offer a useful pathway that facilitates the understanding, and systematic approach to internal hernia, which can be used by bariatric quality registers.

show abstract

The influence of laparoscopic vs. open gastric bypass on hemodynamic function in morbidly obese patients during general anesthesia.

Cited by 9 publications

References 15 publications

Three-Step Hand-Assisted Laparoscopic D2 Radical Gastrectomy for Chinese Obese Patients: A Highly Efficient and Feasible Surgical Approach

Three-Step Hand-Assisted Laparoscopic D2 Radical Gastrectomy for Chinese Obese Patients: A Highly Efficient and Feasible Surgical Approach

Missing something? A scoping review of venous thromboembolic events and their associations with bariatric surgery. Refining the evidence base

Modification of internal hernia classification system after laparoscopic Roux-en-Y bariatric surgery.

Contact Info

Product

Resources

About